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General NPI Number Information
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NPI Number | 1013783976
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Entity Type | Organization
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Legal Business Name | RECOVERY HEALTH OPTIONS, INC.
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 4029 WESTERLY PL STE 113
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2329
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Country | US
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Telephone | 714-875-5479
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Fax |
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Provider Business Mailing Address
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Address Line | 17602 17TRH ST. SUITE 102-123
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City | TUSTIN
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State | CA
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Zip | 92780
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Country | US
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Telephone | 714-883-3133
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ZACHARY JOSEPH FIELDING
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Credential |
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Telephone | 714-875-5479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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